Diagnosing Donald Trump, and His Voters

Jay Rosen, a media scholar at New York University, has been arguing for months that “many things Trump does are best explained by Narcissistic Personality Disorder,” and that journalists should start saying so. In March, the Times published a letter by the psychiatrists Robert Jay Lifton and Judith L. Herman, who stated that Trump’s “repeated failure to distinguish between reality and fantasy, and his outbursts of rage when his fantasies are contradicted” suggest that, “faced with crisis, President Trump will lack the judgment to respond rationally.”

.. . Philip Zimbardo, who is best known for his Stanford Prison Experiment, and his co-author, Rosemary Sword, propose that Trump is an “extreme present hedonist.” He may also be a sociopath, a malignant narcissist, borderline, on the bipolar spectrum, a hypomanic, suffering from delusional disorder, or cognitively impaired.

.. Lyndon Johnson was bipolar, and John F. Kennedy and Bill Clinton might have been characterized as “extreme present hedonists,” narcissists, and hypomanics. Richard Nixon was, in addition to his narcissism, a sociopath who suffered from delusions, and Ronald Reagan’s noticeable cognitive decline began no later than his second term.

.. Alexander Esenin-Volpin, one of the founders of the Soviet dissident movement, receive his medical documents, dating back to his hospitalizations decades earlier. His diagnosis of mental illness was based explicitly on his expressed belief that protest could overturn the Soviet regime. Esenin-Volpin laughed with delight when he read the document. It was funny. It was also accurate: the idea that the protest of a few intellectuals could bring down the Soviet regime was insane. Esenin-Volpin, in fact, struggled with mental-health issues throughout his life. He was also a visionary.

.. at the same time, they are analyzing what we all see: the President’s persistent, blatant lies (there is some disagreement among contributors on whether he knows he is lying or is, in fact, delusional); his contradictory statements; his inability to hold a thought; his aggression; his lack of empathy. None of this is secret, special knowledge—it is all known to the people who voted for him. We might ask what’s wrong with them rather than what’s wrong with him.

.. the election reflects “a woundedness at the core of the American group Self,” with Trump offering protection from further injury and even a cure for the wound. The conversation turns, as it must, from diagnosing the President to diagnosing the people who voted for him. That has the effect of making Trump appear normal—in the sense that, psychologically, he is offering his voters what they want and need.